Individual
SAMINA L GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., LPC
Contact information
Practice address
2216 KANE ST, LA CROSSE, WI 54603-1925
(608) 385-4004
Mailing address
2216 KANE ST, LA CROSSE, WI 54603-1925
(608) 385-4004
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4890
WI
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
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